Leukomalacia oo ah mid shaqsiyeed

Periventricular leukomalacia (PVL) waa nooc ka mid ah dhaawaca maskaxda oo saameeya dhallaanka dhiciska ah. Xaaladdu waxay ku lug leedahay dhimashada qaybo yar oo ka mid ah unugyada maskaxda agagaarka meelaha dareeraha ka buuxo ee la yiraahdo ventricles. Dhaawaca ayaa maskaxda ku abuuraya "godad". "Leuko" waxaa loola jeedaa arrinta cad ee maskaxda. "Periventricular" waxaa loola jeedaa aagga hareeraha ventricles-ka.

PVL wuxuu aad ugu badan yahay dhallaanka dhicisnimada ah marka loo eego dhallaanka waqtiga buuxa.

Sababta ugu weyn waxaa loo maleynayaa inay tahay isbeddelada socodka dhiigga ee aagga hareeraha ventricles-ka maskaxda. Aaggan waa mid jilicsan oo u nugul dhaawac, gaar ahaan ka hor 32 toddobaad oo uur ah.

Infekshinka kudhaca waqtiga dhalmada ayaa sidoo kale door ka qaadan kara sababaha PVL. Khatarta PVL waxay ku badan tahay dhallaanka sida dhakhsaha u dhima isla markaana aan xasillooneyn markay dhashaan.

Carruurta dhiciska ah ee dhiig baxa ku dhaca (IVH) sidoo kale waxay halis sare ugu jiraan inay ku dhacaan xaaladan.

Tijaabooyinka loo isticmaalo in lagu baaro PVL waxaa ka mid ah ultrasound iyo MRI madaxa.

Ma jiro wax daaweyn ah oo loo hayo PVL. Hawlaha degdegga ah ee wadnaha, sambabka, xiidmaha, iyo kelyaha ayaa si dhow loola socdaa laguna daaweeyaa qaybta daryeelka degdegga ah ee dhalaanka cusub (NICU). Tani waxay gacan ka geysaneysaa yareynta halista inuu ku dhaco PVL.

PVL badanaa waxay u horseedaa nidaamka neerfaha iyo dhibaatooyinka koritaanka ilmaha soo koraya. Dhibaatooyinkan badanaa waxay dhacaan inta lagu jiro sanadka koowaad illaa labaad ee nolosha. Waxay sababi kartaa curyaaminta maskaxda (CP), gaar ahaan cidhiidhi ama murqaha oo kordha (spasticity) lugaha.

Ilmaha qaba PVL waxay halis ugu jiraan dhibaatooyinka nidaamka neerfayaasha ee waaweyn. Kuwani waxay u badan tahay inay ku jiraan dhaqdhaqaaqyo sida fadhiga, gurguurashada, socodka, iyo dhaqaaqa gacmaha. Caruurtan waxay u baahan doonaan daaweyn jireed. Carruurta aadka u-dhiciska ah waxaa laga yaabaa inay dhibaatooyin badan ka qabaan xagga waxbarashada marka loo eego dhaqdhaqaaqa.

Ilmaha laga helo PVL waa inuu la socdaa dhakhtarka koritaanka ilmaha ama dhakhtarka neerfaha ee carruurta. Cunnuggu waa inuu u tagaa dhakhtarka carruurta ee caadiga ah ee loogu talagalay imtixaannada loo qorsheeyay.

PVL; Dhaawaca maskaxda - dhallaanka; Cudurka 'Encephalopathy of prematurity'

• Leukomalacia oo ah mid shaqsiyeed

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